LSU School of Medicine vs. COVID19: Healthcare Worker Request Form

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The LSU and Tulane Schools of Medicine want to help healthcare workers in whatever ways they can during the Covid-19 crisis. The goal of this initiative is to alleviate some of the daily burdens of healthcare workers in our community that we, as medical students not in the hospital, could easily take care of.

At this time, medical students are volunteering their time to assist healthcare workers with the following free of charge services listed in the survey!

How it works:
Request childcare via this form: https://forms.gle/esRNxHpep8VzqK3Z7
Request all other services continue this survey.

You will be paired up with a medical student in a timely manner who is “on call” during the hours of your request.
Once paired, a medical student will send you a text/email. You are then responsible for coordinating with the medical student. All arrangements, including logistics regarding social distancing and protective measures, should be discussed between you and the student.

Questions:
Please contact Alyssa Cruse acruse@lsuhsc.edu and Hillary Connell hconn3@lsuhsc.edu.

Name *

Role at Institution (Physician, Resident, etc.) *

Your primary hospital *

UMC

Touro

Children's Hospital

Ochsner Kenner

Tulane

Other:

Department (i.e. Internal Medicine, OB/Gyn, Surgery, etc.) *

Phone # *

Email *

Which method of contact is preferred?

Phone

Clear selection

What services are you looking for? *

Pet Care

Grocery Run

Remote Tutoring

Home Tutoring

Pharmacy Run

Home Organization

Food Delivery

Other:

Required

Where in town do you live? (Indicate Baton Rouge if applicable, addresses are not required at this time)

Please detail day/time and instructions for service. We will do our best to accommodate same day requests. *

IMPORTANT TO READ. I acknowledge and agree to all of the following: *

Please follow official guidance and common sense precautions regarding exposure history, and refrain from participating if you or any household contacts are symptomatic. This is an offer to help, not enrollment in a program offered by or endorsed by any employers or academic institution. This program is not endorsed by the employers of its participants or any affiliate organizations. We are an informal movement comprised of private individuals who want to help connect frontline health workers with options for assistance in this crisis. We do not assume liability for volunteers or frontline workers, and participants must use their own discretion to evaluate risk. This is only to connect healthcare workers and staff with available students; we are not providing training or vetting anyone. All arrangements, including logistics regarding self-quarantining, social distancing, and protective measures, should be discussed between you and your student match.

We are aware of the LCME guidelines that have surfaced during this pandemic that say that students who run personal errands for residents or attendings cannot be evaluated by these persons in the future. We will be keeping track of pairings and matches with student affairs for this purpose.

Required

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